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Cuffed endotracheal tubes for neonates and young infants: a comprehensive review

Rebecca Thomas1, Shripada Rao2, Corrado Minutillo3

  • 1Neonatal Clinical Care Unit, Princess Margaret Hospital for Children, Perth, Western Australia, Australia Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.

Archives of Disease in Childhood. Fetal and Neonatal Edition
|October 14, 2015
PubMed

Insights

Cuffed endotracheal tubes (ETTs) may offer advantages over uncuffed ETTs for infant ventilation. This review explores the evidence for using cuffed ETTs in neonates, challenging traditional practices.

Area of Science:

  • Neonatal Medicine
  • Pediatric Anesthesiology
  • Respiratory Care

Background:

  • Uncuffed endotracheal tubes (ETTs) are traditionally used for infant ventilation.
  • High-volume low-pressure (HVLP) cuffed ETTs are increasingly used in infants >3kg.
  • This raises questions about their use in neonates.

Purpose of the Study:

  • To review the rationale for traditional uncuffed ETT use in infants.
  • To evaluate the benefits of newer HVLP cuffed ETTs for neonates.
  • To assess evidence comparing cuffed and uncuffed ETTs in neonates.

Main Methods:

  • Literature review of studies on endotracheal tube use in neonates and small infants.
  • Analysis of evidence comparing cuffed and uncuffed ETTs.
  • Examination of the properties of HVLP cuffed ETTs.

Main Results:

  • Discusses historical reasons for uncuffed ETT preference.
  • Highlights potential benefits of HVLP cuffed ETTs.
  • Reviews comparative studies on ETT types in neonates.

Conclusions:

  • The use of cuffed ETTs in neonates warrants further consideration.
  • Evidence suggests potential benefits of cuffed ETTs for infant ventilation.
  • Clinical practice may evolve towards wider adoption of cuffed ETTs.

Keywords:
AnaestheticsIntensive CareNeonatologyRespiratory

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